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Antimicrobial resis...
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Hernando Rovirola, CristinaPreventive Medicine, Universitat Autònoma de Barcelona, Bellaterra, Spain; Centre for Epidemiological Studies on HIV/STI in Catalonia (CEEISCAT), Agència de Salut Publica de Catalunya (ASPC), Generalitat de Catalunya, Badalona, Spain
(author)
Antimicrobial resistance in Neisseria gonorrhoeae isolates from foreign-born population in the European Gonococcal Antimicrobial Surveillance Programme
- Article/chapterEnglish2020
Publisher, publication year, extent ...
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2020-02-04
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BMJ Publishing Group Ltd,2020
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printrdacarrier
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LIBRIS-ID:oai:DiVA.org:oru-79942
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-79942URI
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https://doi.org/10.1136/sextrans-2018-053912DOI
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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OBJECTIVES: infections worldwide. We compared the prevalence of AMR gonococcal isolates among native persons to foreign-born (reporting country different from country of birth) persons, and describe the epidemiological and clinical characteristics of foreign-born patients and their associations to AMR.METHODS: We analysed isolates and patient data reported to the European Gonococcal Antimicrobial Surveillance Programme (Euro-GASP) 2010-2014 (n=9529).RESULTS: Forty-three per cent of isolates had known country of birth and 17.2% of these were from persons born abroad. Almost 50% of foreign-born were from the WHO European Region (13.1% from non-European Union [EU] and the European Economic Area [EEA] countries). Compared with isolates from natives, isolates from foreign-born had a similar level (p>0.05) of azithromycin resistance (7.5% vs 7.2%), ciprofloxacin resistance (50.0% vs 46.3%) and of decreased susceptibility to ceftriaxone (1.9% vs 2.8%); a lower rate of cefixime resistance (5.7% vs 3.6%, p=0.02), and a higher proportion of isolates producing penicillinase (8.4% vs 11.7%, p=0.02). Among isolates from persons born outside EU/EEA, the level of decreased susceptibility to ceftriaxone was higher (1.8% vs 3.5%, p=0.02), particularly in those from the WHO Eastern Mediterranean Region and non-EU/EEA WHO European countries (1.9% vs 9.6% and 8.7%, respectively, p<0.01). In multivariable analysis, foreign-born patients with AMR isolates were more likely to be from non-EU/EEA WHO European countries (adjusted OR [aOR]: 3.2, 95% CI 1.8 to 5.8), WHO Eastern Mediterranean countries (aOR: 1.8, 95% CI 1.1 to 3.3) and heterosexual males (aOR: 1.8, 95% CI 1.2 to 2.7).CONCLUSIONS: Importation of AMR strains remains an important threat in the EU/EEA. Research to improve understanding of sexual networks within foreign born and sexual tourism populations could help to inform effective tailor-made interventions. The Euro-GASP demonstrates the public health value of quality-assured surveillance of gonococcal AMR and the need for strengthened AMR surveillance, particularly in the non-EU/EEA WHO European Region.
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Spiteri, GianfrancoEuropean Centre for Disease Prevention and Control, Stockholm, Sweden
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Sabidó, MeritxellTransLab, Medical Science Department, Universitat de Girona, Girona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
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Montoliu, AlexandraCentre for Epidemiological Studies on HIV/STI in Catalonia (CEEISCAT), Agència de Salut Publica de Catalunya (ASPC), Generalitat de Catalunya, Badalona, Spain; Health Sciences Research Institute of the Germans Trias i Pujol Foundation (IGTP), Badalona, Spain
(author)
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Gonzalez, VictoriaCentre for Epidemiological Studies on HIV/STI in Catalonia (CEEISCAT), Agència de Salut Publica de Catalunya (ASPC), Generalitat de Catalunya, Badalona, Spain; Laboratory of Microbiology, Germans Trias i Pujol Hospital (HGTiP), Badalona, Spain
(author)
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Casabona, JordiCentre for Epidemiological Studies on HIV/STI in Catalonia (CEEISCAT), Agència de Salut Publica de Catalunya (ASPC), Generalitat de Catalunya, Badalona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Health Sciences Research Institute of the Germans Trias i Pujol Foundation (IGTP), Badalona, Spain; Department of Pediatrics, Obstetrics and Gynecology, and Preventive Medicine, Universitat Autònoma de Barcelona, Badalona, Spain
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Cole, Michelle JayneNational Infection Service, Public Health England, London, UK
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Noori, TeymurEuropean Centre for Disease Prevention and Control, Stockholm, Sweden
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Unemo, Magnus,1970-Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,WHO Collaborating Centre for Gonorrhoea and other STIs(Swepub:oru)muo
(author)
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Preventive Medicine, Universitat Autònoma de Barcelona, Bellaterra, Spain; Centre for Epidemiological Studies on HIV/STI in Catalonia (CEEISCAT), Agència de Salut Publica de Catalunya (ASPC), Generalitat de Catalunya, Badalona, SpainEuropean Centre for Disease Prevention and Control, Stockholm, Sweden
(creator_code:org_t)
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In:Sexually Transmitted Infections: BMJ Publishing Group Ltd96:3, s. 204-2101368-49731472-3263
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